Penn State Health Agrees to Pay $11.7M for Improperly Billing Medicare
Penn State Health has agreed to pay $11,712,336 to resolve allegations of civil liability for submitting claims to Medicare for Annual Wellness Visit services that violated Medicare rules and regulations. Penn State Health is a five-hospital health system serving patients and communities across central Pennsylvania. Between December 2015 and November 2022, Penn State Health submitted claims to Medicare for Annual Wellness Visit services; however, those services were not supported by the medical record.
When the issue was discovered by Penn State Health, corrective action was immediately taken, and the matter was voluntarily reported to the United States Attorney’s Office. The United States Attorney’s Office for the Middle District of Pennsylvania has recently announced that Penn State Health has agreed to pay $11,712,336 to resolve allegations of civil liability for improper billing.
“We have worked with [the] United States Attorney’s Office and Health and Human Services Office of Inspector General on a settlement and repayment of any reimbursements that did not fully meet Medicare documentation requirements,” said a spokesperson for Penn State Health.
